This project examined variability in voluntary movement paths of assisted living facility residents to see if it was greater in patients who fell the week preceding their fall as compared to residents who did not fall.
Long-Term Care Facility
The purpose of this project was to examine the feasibility of developing an electronic health information network to provide clinicians with patients' medical information during care transfers and found that, while feasible, there are significant barriers to information exchange.
Facilitates transfer of information among providers and patients in the Presque Isle community; implements a model of chronic care management; and educates area health care providers on how best to use current information systems to communicate with each other.
This project enhanced an existing health-information exchange (HIE) to enable clinicians to work more effectively and efficiently and to utilize the HIE more fully when managing care transitions.
Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
This project developed and evaluated a medication reconciliation intervention for medication monitoring and followup of elderly patients discharged from a skilled nursing facility.
Designed a county-wide health information system that allowed health information sharing and permitted real-time order placement by hospitals, health departments, private physicians' offices, clinics, and long-term care facilities.
This project piloted an e-Prescribing application in a Long Term Care setting.
This project investigated the feasibility and impact of novel approaches to clinician decision support in multidisciplinary ambulatory care, emphasizing high-risk transitions of care.
Assessed the effects of clinical decision support systems in nursing homes on medication ordering and monitoring for residents in long term care setting; also tracked costs and assessed productivity, impact, and nursing home culture and organization.
Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention module, which uses documentation data elements, actionable reports, and tracking tools to address residents’ fall risk factors.